Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $60.68 / $63.11	Facility		$53.00	$60.68	$63.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $61.55 / $67.59	Professional		$54.18	$61.55	$67.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.37 / $127.51 / $134.01	Facility		$79.37	$127.51	$134.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $68.06 / $204.90	Professional		$59.64	$68.06	$204.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.63 / $177.52 / $204.24	Facility		$95.63	$177.52	$204.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121.13 / $158.50 / $210.39	Professional		$121.13	$158.50	$210.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.70 / $100.70 / $149.41	Facility		$100.70	$100.70	$149.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $85.60 / $561.04	Professional		$85.60	$85.60	$561.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $76.68 / $95.85	Professional		$62.87	$76.68	$95.85
United Facility/Professional Professional Modifier Low / Median / High Price $42.41 / $63.61 / $87.11	Professional		$42.41	$63.61	$87.11